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目的回顾性分析注射用双氯芬酸钠利多卡因肌注治疗晚期癌痛的疗效。方法所有病例均为我科门诊长期使用吗啡注射剂者,每天与吗啡交替使用1次(原来注射吗啡3次者减为2次,2次减为1次,均加1次肌注注射用双氯芬酸钠利多卡因75mg/20mg)。让家属记录开始注射时间和疼痛开始缓解时间和总的控制时间。结果 68例患者中疼痛完全缓解40例,疼痛部分缓解21例,无效7例,完全缓解者中有35例最终停用吗啡。结论注射用双氯芬酸钠利多卡因有明显镇痛作用,是吗啡注射剂的良好替代品。
Objective To retrospectively analyze the efficacy of intramuscular injection of diclofenac sodium and lidocaine for the treatment of advanced cancer pain. Methods All cases were long-term use of morphine injections in our outpatient department. We used morphine once daily and alternated once a day. (The original morphine was reduced to 2 times, and 2 times was reduced to 1 time, plus 1 intramuscular injection of diclofenac sodium. Lidocaine 75 mg/20 mg). Allow the family members to record the start of injection time and pain relief time and total control time. Results Of the 68 patients, 40 were completely relieved of pain, 21 were partial pain relief, 7 were ineffective, and 35 were complete remissions. Morphine was eventually discontinued. Conclusion Diclofenac sodium lidocaine for injection has obvious analgesic effect and is a good substitute for morphine injection.